| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.75 | $140.75 | $140.75 | |
Aetna
| Professional | $140.75 | $140.75 | $154.82 | |
BCBS
| Facility | $146.09 | $177.29 | $238.52 | |
BCBS
| Professional | $144.47 | $144.47 | $144.47 | |
Cigna
| Facility | $161.82 | $161.82 | $161.82 | |
Cigna
| Professional | $161.82 | $161.82 | $179.16 | |
United
| Professional | $144.47 | $163.26 | $173.08 |